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Upturn advances equity and justice in the design, governance, and use of technology.

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5/ Separately, when DC redesigned its eligibility process, the DC agency cited the constraints of its vendor's assessment tools as a way to dismiss advocates’ concerns about new eligibility rules, showing how the influence of vendors can undercut due process. www.upturn.org/work/calcula...
October 21, 2025 at 6:26 PM
4/ Meeting minutes from Nebraska, obtained through public records, pull back the curtain on how the state agency and vendors jointly designed its home care eligibility algorithm. The minutes even stated that “the idea of… eligibility being clear cut is a myth.” www.upturn.org/work/calcula...
October 21, 2025 at 6:26 PM
1/ NEW: Read our new report, “Calculated Need: Algorithms and the Fight for Medicaid Home Care.” We show how automated eligibility determinations are political tools that draw a subjective line between who is deserving and undeserving of getting care in their home. www.upturn.org/work/calcula...
October 21, 2025 at 6:26 PM